MRS. JENNIFER BOYD BOOTLE FNP
NPI 1417296898
Nurse Practitioner - Family in Savannah, GA

Q: What is Jennifer Bootle's NPI number?

The NPI number for Jennifer Bootle is 1417296898. It was assigned to this individual provider in the NPPES registry on February 5, 2013.

Q: What is Jennifer Bootle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bootle was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2013PECOS Enrolled

14089 ABERCORN ST, SAVANNAH, GA 31419(912) 350-2121(912) 350-2145 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Jennifer Boyd Bootle Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER BOYD BOOTLE FNP (NPI 1417296898) is an individual family provider in Savannah, Georgia, licensed in Georgia (RN227783) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417296898

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JENNIFER BOYD BOOTLECredential: FNP

Location Address14089 ABERCORN STSavannah, GA 31419-1966

Mailing Address14089 Abercorn StSavannah, GA 31419-1966 · (912) 350-2121 · Fax (912) 350-2145

Phone(912) 350-2121

Fax(912) 350-2145

Sole ProprietorNo

Enumeration DateFebruary 5, 2013

Last NPPES UpdateNovember 3, 2014

✔ NPI 1417296898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in GA · RN227783✔ Licensed in SC · 18172

14089 ABERCORN ST, Savannah, GA 31419

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Other Identifiers 7

OtherP01241129GA · Railroad Medicare

Medicare PIN20250I7290GA

Medicaid003138354AGA

Medicaid003138354DGA

Medicaid003138354BGA

Medicaid003138354CGA

Medicare PIN202I502749GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Boyd Bootle Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31419 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENARDA S. TOLBERT PA-C

Physician Assistant